AI-Enhanced Coding Manipulation AI vs. AI: The New Battleground in Healthcare Payment Integrity As providers increasingly adopt AI-assisted medical coding tools, we're witnessing a concerning trend: sophisticated manipulation of these systems to maximize reimbursement. Our detection systems have identified: - Algorithmic upcoding that stays just below traditional thresholds - AI-generated documentation designed to justify higher complexity levels - Pattern-based code selection that appears legitimate but maximizes payment At Naviquis, we're fighting fire with fire - using our own advanced AI to detect these subtle manipulations before claims are paid. The result? Millions saved for our clients while maintaining positive provider relationships. ?? www.naviquis.com #ArtificialIntelligence #HealthcareFraud #MedicalCoding #PaymentIntegrity #FraudDetection
